Mycotic aortic aneurysm in a debilitated patient with compromised immunity; beware of Candida!

Abstract Candida is a rare cause of infected aortic aneurysms. We report the case of a diabetic patient with end stage kidney disease who underwent repair of a leaking abdominal aortic aneurysm. He was on long-term antibiotic treatment for malignant otitis externa. Candida albicans was isolated from the culture of the excised aneurysm wall. An infected aortic aneurysm due to Candida has not been previously reported in a patient with malignant otitis externa. This case report aims to highlight that Candida should be suspected as a cause of infected aortic aneurysms in patients with debilitation and chronic immunosuppression. Management of such cases can be extremely challenging, especially in resource-poor settings, and we will be touching upon the advantages and disadvantages of various treatment options.

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Bibliographic Details
Main Authors: Gunawardena,Thilina, Godakandage,Manujaya, Abeywickrama,Sachith, Cassim,Rezni, Wijeyaratne,Mandika
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492021000100635
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